Complex Care RN Case Manager/Specialty Populations

Overview

Marin Community Clinics, founded in 1972, is a multi-clinic network providing integrated primary care, dental, behavioral, specialty, and referral services to almost 40,000 individuals annually in Marin County. As a Federally Qualified Health Center (FQHC), we regularly receive national awards from the Health Resources and Services Administration (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all.

Responsibilities

• Works closely with the Director of Complex Care to ensure the delivery of high-quality, comprehensive, person-centered case management across the department.
• Point of contact/liaison for BHRS Integrated Care Clinic providers.
• Provides nursing support to MCC’s Enhanced Care Clinic provider (shared visits, triage, hospital follow-ups, medication management, and psychoeducation).
• Carrs a panel of up to 10 ECM patients co-enrolled in ECC or Integrated Clinic.
• Provides clinical consultation and support to Complex Care team members.
• Supports case managers and patients to navigate complex specialty care challenges.
• Works closely with community partners to ensure continuity of care.
• Facilitate internal and external case conferencing as needed.
• Attend meetings with critical external partners.
• Ensure program reporting requirements and quality measures are met.
• Conduct home/community visits as needed.
• Document all Patient interactions and services using MCC’s electronic health record AND secondary database.
• Attend internal and external meetings (i.e., case conferencing, administrative).
• Attend relevant trainings such as health coaching, engagement techniques, etc.
• Timely and accurate reporting of data as requested to MCC CM programs.
• May travel between clinics or meet Patients in the community as needed.
• Provide frank and considered opinions regarding case management services and quality improvement measures.

Qualifications

• Education and Experience: Associate or BA/BS degree required. Valid California license as a registered nurse required. 1-2 years’ experience (and passion for) providing support to individuals with chronic and complex BH needs, complex medical conditions and/or substance-using individuals highly preferable. Experience/knowledge re: CalAIM initiatives and ECM highly preferable.
• Required Skills And Abilities: Fluent in English with the ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports and business correspondence in English. Must be able to communicate with patients and partners in Spanish: effectively present information and respond to questions from clients, customers, and the general public in Spanish. Strong preference for a candidate than is able to conduct clinical assessment interviews and case management interventions with patients in Spanish.
• Physical Requirements: Fulfill immunization and fit-for-duty regulatory requirements. Prolonged standing and walking. Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times. Ability to drive to clinics and other locations in the community.

Benefits

• Competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short-Term and Long-Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid Time Off, and Extended Illness Benefits.